NPI | 1033592241 |
---|---|
Doing Business As | FRESH LEAF DENTAL |
Entity Type | Organization |
Authorized Contact | NEVEIN AMER President/Owner 972-746-0881 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 47881) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2015-07-07 |
Last Update Date | 2022-12-06 |